IPACHTE# ~~-s-= 2( Harnett County Department of Public Health
Improvement Permit 26505
A building permit cannot be issued with only an Improvement Peerit
PROPERTY LOCATION:
ISSUED Ty' I
4 SUBDIVISION 1 +r LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -j b
Proposed Wastewater System Type: 2t
Projected Daily Flow: 't Pi (Q GPD
Number of bedrooms: '~f Number of Occupants: b? max
Basement ❑Yes 01-o
~
Pump Required: ❑Yes ❑ No 2 Xu'blic required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit valid for 10Five years
Permit conditions: ❑ No expiration
Authorized State AgertC, Date: 15 - / l SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements, This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: 6 PROPERTY LOCATION:
SUBDIVISION a LOT #
Facility Type: 5 New ~D/ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EYNo
Type of Wastewater System** 25-01a j u 5 (Initial) Wastewater Flow: GPD
(See note below, if applicable
A p (Repair)
Installation Requirements/Conditions Number o (trenches
c}
Septic Tank Size 6 gallons Exact length of each trench feet Trench Spacing: f Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (19 inches
Maximum Trench Depth of: 4 r j ches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Itt AI IACHEU SIZE )KETCH
Authorized State t: Date: - (
Construction Authorization Expiration Date: -6- rC-r
HTE# /1- S-- Z6605 Permit # Z( ~;-6
Harnett County Department of Public Health
Site Sketch /V I- /
PROPERTY LOCATON 50-76-7
ISSUED TO: ~ .5 2 - 7 C SUBDIVISION LOT #
Authorized State / d
i r ; of
A P"6q .5
1
P/1-
Depadment of Environment, Health and Natural Resources Sheet:
Division of Euvironmental Health
On-Site Wastewater Section Property ID:
Lot
SOIIJSITR.EVALUATION File
for ON-SITE WASTEWAni SY9'I'Tm: Code:
Owner. Applicant:
Address: Date Evaluated: 25 z~k r
Propostd Paduty. Design FIt)w (.1949): Properly Size.
Locatbi of Site: prosy Recorded:
Water 9uppty !C ❑ Individual ❑ WeU ❑ Spring ❑ Other
Evalwadan Method; lAuger Boring ❑ Pit . Cut.
Type of WwWwater. sewage ❑ Industrial Process Mixed;
P
R
O
P SOIL MORPHOLOGY
1 .1940 .1941 PAOFlLB @ACTOR,
L I uWscap Hari zoe .1943
9 Positiad t7aptb .1941 .1941 Sail
N Siop % (In) struomw Condsteco w~~ tall .1916 Re* .1944 Fro
claw®
Ted M~(o Color 9ai1 Seprv Reatr
IN. Clan Horix, ALTAN'
eon
0 _S
L q-zt
C
d
IV
~>t
it C
low Rrt~ SY~+ Other Factors (.1946k
,~lo6l0 9
vs oa
.1945
Site C11-wficadoa (.19482
r
to LTAR
Evahated By:
Others Present: